1205056942 NPI number — CANVAS HEALTH, INC.

Table of content: (NPI 1205056942)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205056942 NPI number — CANVAS HEALTH, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CANVAS HEALTH, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HUMAN SERVICES, INC. IN WASHINGTON COUNTY
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205056942
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
375 ORLEANS ST E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STILLWATER
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55082-5830
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-431-0720
Provider Business Mailing Address Fax Number:
651-351-3155

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
375 ORLEANS ST E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STILLWATER
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55082-5830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-431-0720
Provider Business Practice Location Address Fax Number:
651-351-3155
Provider Enumeration Date:
04/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
EASTWOOD
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
651-777-5222

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  801109 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 082518200 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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